Coutryview Care Center Of Macomb

LBN: Petersen Health Properties, Llc
Coutryview Care Center Of Macomb is an health care organization with primary practice located at 400 W Grant St , Macomb IL 61455-2867. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Petersen Health Properties, Llc can be contacted via phone (309) 837-2386, or through Petersen, Mark B. via phone (309) 691-8113.

Contact Information

Primary practice address
400 W Grant St Macomb IL 61455-2867
Phone: (309) 837-2386
Fax: (309) 836-9191
Website:
Map and Directions
Authorized official contact:
Name: Petersen, Mark B.
Phone: (309) 691-8113

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 0047431 Illinois

Profile Details

NPI number 1730127218
LBN Legal business name Petersen Health Properties, Llc
DBA Doing business as Coutryview Care Center Of Macomb
Authorized official Petersen, Mark B.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Dec 31st, 2019 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730127218 NPPES
Illinois MEDICAID 20-3224201015

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